What role does radiation plan in a pT1a endometrial cancer with two small metastatic foci in the abdomen found during surgery?
How would you treat a FIGO IA gr 3 endometrial cancer with no high risk features but 2 foci of metastatic disease?
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I see the limited value of prophylactic RT here and favor systemic treatment only.
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I initially had a response and then realized I misread the question.
For small bowel/mesenteric nodules that are resected and confirmed to be metastatic disease, there is no role of adjuvant radiation. Similarly, for the question above, SBRT is not relevant as the nodules have been resected.
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I would not offer adjuvant radiotherapy to a patient with mesenteric nodules found during the surgery.
If the nodules were resected, there is no role for adjuvant SBRT. Even if they were not resected, I would reserve any SBRT or EBRT after the patient has been treated with systemic therapy. We are ...
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